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#470 Oral Medium

Reversed 69

A 69 variation where the receiving partner is on top facing down.

Medically Reviewed by Dr. James Chen, Board-Certified OB/GYN
Reversed 69 sex position illustration - A 69 variation where the receiving partner is on top facing down.
Penetration: Shallow
Stimulation: Clitoral

About This Position

Reversed 69 flips the standard 69 so the partner who is typically on the bottom is on top, facing downward. This changes the dynamic and provides a different visual and physical experience. The top partner has more control over the depth and angle of oral stimulation.

Best For

ControlDifferent perspectiveVisual arousal

Clitoral Stimulation

Good clitoral stimulation with the reversed angle.

The reversed position changes the clitoral approach.

G-Spot Stimulation

Moderate G-spot stimulation with finger insertion.

Fingers can reach the G-spot from the reversed angle.

Anatomy & Physiology

Muscle Groups Involved

  • Arms
  • Core
  • Neck

Angle of Penetration

Mouth-to-genital, reversed angle

Targeted Pleasure Zones

ClitorisLabiaPenisScrotum

Body Contact Points

Mouth to genitalsThighs around headHands on body

Step-by-Step Guide

1

The bottom partner lies on their back with their head near the edge of the bed.

Tip: Pillows under the head improve comfort and angle.

2

The top partner positions themselves face-down over the bottom partner's face, with their genitals at the bottom partner's mouth.

Tip: The top partner should support their weight on their arms.

3

The top partner lowers themselves to allow the bottom partner's mouth access to their genitals.

Tip: Control the distance by adjusting how low you lower yourself.

4

Both partners perform oral simultaneously, with the top partner controlling the depth and rhythm.

Tip: The top partner has the advantage of being able to move freely.

5

The bottom partner can use their hands to grip the top partner's thighs or buttocks for additional control.

Tip: Hand placement helps guide the top partner's movements.

Safety & Precautions

Warnings

  • ! The top partner must support their weight on their arms.
  • ! Communicate about comfort and breathing.

Modifications

  • * Try this on the floor with pillows for extra safety.
  • * The top partner can use a headboard or wall for support.
Flexibility: Medium Joint Stress: Moderate

Not recommended during pregnancy.

Medical References & Sources

The information on this page has been reviewed for accuracy by certified health professionals. The following peer-reviewed and authoritative sources were used in developing this guide:

Health Disclaimer: Always consult a healthcare professional before trying new positions, especially if you have back pain, joint issues, are pregnant, or have any medical condition. Stop immediately if you experience pain.

Pros

  • + The top partner controls the angle and depth
  • + Different visual perspective
  • + Can be more intense for the bottom partner

Cons

  • - Can be tiring for the top partner
  • - The bottom partner has limited control

Tips

  • * The top partner should support their weight on their arms
  • * Use pillows under the bottom partner's head
  • * Switch roles to give both partners the experience

Common Mistakes to Avoid

Even with the right technique, small errors can reduce pleasure or increase injury risk. Here are the most common mistakes couples make with the Reversed 69 position:

Top partner putting too much weight on bottom partner

The top partner must support their weight on their arms. Full weight can make it hard for the bottom partner to breathe or perform.

Bottom partner being too passive

Even though the top partner has more control, the bottom partner should actively use their mouth and hands.

Variations to Try

Once you've mastered the basic Reversed 69, these variations can add new sensations and keep things exciting:

1

Add a Pillow

Place a pillow under the receiving partner's hips to change the angle of penetration and enhance stimulation.

2

Incorporate Manual Stimulation

Use hands to add clitoral or other external stimulation during the position for enhanced pleasure.

3

Slow Down the Pace

Switch from thrusting to grinding for a more intimate, sensation-focused experience.

4

Try Different Surfaces

Move from the bed to a couch, standing, or against a wall for different angles and experiences.

Share this position

SM

Written by Dr. Sarah Mitchell

Certified Sex Therapist, PhD in Human Sexuality

JC

Reviewed by Dr. James Chen

Board-Certified OB/GYN, 15+ Years Experience

Last reviewed: July 2026 | Content medically verified | Meet our full team

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